Nursing Interventions: Post Cast Application and Cast Removal

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A. Plaster of Paris casts 1. Handle fresh cast carefully (first 48 hours) a. Indentations may cause pressure points under the cast b. Handle the cast with open palms of hands 2. Do not apply pressure to the cast 3. Do not cover the cast – allow to air dry

B. Inform client that 1. Cast removal is painless 2. Client will feel heat and vibration 3. Saw is noisy but will not cut client 4. Inspect tissue under cast for signs of inflammation or infection 5. If skin is intact apply lotion to moisturize skin

C. Teach client 1. Underlying skin may be scaly and dry 2. To perform range of motion exercises as ordered 3. To use moisturizing lotion on dry skin